CAROLYN LUCILLE CONSOLI
NPI 1063605095
Peer Specialist in Corvallis, OR

Active since August 22, 2007
530 NW 27TH ST, CORVALLIS, OR 97330(541) 766-6835(541) 766-6186 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Carolyn Lucille Consoli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN LUCILLE CONSOLI (NPI 1063605095) is an individual peer specialist in Corvallis, Oregon, licensed in Oregon (THW0001880) and active in the NPI registry since August 2007. She maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1063605095
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCAROLYN LUCILLE CONSOLI
Location Address530 NW 27TH STCorvallis, OR 97330-5223
Mailing Address530 Nw 27th StCorvallis, OR 97330-5223 · (541) 766-6835 · Fax (541) 766-6186
Fax(541) 766-6186
Sole ProprietorNo
Enumeration DateAugust 22, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1063605095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · THW0001880
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
530 NW 27TH ST, Corvallis, OR 97330

Secondary Practice Location 1

Location 1300 Hillmont AveVentura, CA 93003-1651 · Phone (805) 652-6161

Other Identifiers 2

Medicaid500700084OR
Medicaid500732717OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
530 NW 27TH ST
CORVALLIS, OR 97330
Physician Assistant (Medical)
530 NW 27TH ST
CORVALLIS, OR 97330
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Registered Nurse (Psychiatric/Mental Health)
530 NW 27TH ST
CORVALLIS, OR 97330
Pharmacy Technician
530 NW 27TH ST
CORVALLIS, OR 97330
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Counselor (Mental Health)
530 NW 27TH ST
CORVALLIS, OR 97330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Consoli's NPI number?

The NPI number for Carolyn Consoli is 1063605095. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Carolyn Consoli located?

Carolyn Consoli practices at 530 NW 27th St, Corvallis, OR 97330. The listed phone number is (541) 766-6835.

What is Carolyn Consoli's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Consoli was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.